Individual provider · Type 1 NPI

Marisa Gross, CCC-LSP

Rehabilitation Practitioner · Dickson City, PA

NPI number 1104800119 Active

Practice location

851 Commerce Blvd, Suite 107
Dickson City, PA 18519-1677

Call (570) 489-5561 Map

Fax (570) 489-5563

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XSL005969 L (PA)
Speech-Language Pathologist 235Z00000XSL005969 L (PA)

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1104800119

Marisa Gross, CCC-LSP's National Provider Identifier is 1104800119, issued on Dec 2, 2005. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Dickson City, PA. The record was last updated on Jul 13, 2026.